Provider Demographics
NPI:1508801432
Name:SOMMERS, GARA (MD)
Entity type:Individual
Prefix:DR
First Name:GARA
Middle Name:
Last Name:SOMMERS
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:GARA
Other - Middle Name:
Other - Last Name:SOMMERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1180 RARITAN RD
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1311
Mailing Address - Country:US
Mailing Address - Phone:848-308-4525
Mailing Address - Fax:848-308-4528
Practice Address - Street 1:1180 RARITAN RD
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1311
Practice Address - Country:US
Practice Address - Phone:848-308-4525
Practice Address - Fax:848-308-4528
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05875200207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5343402Medicaid
NJ136865WR3Medicare PIN
NJ5343402Medicaid